We determined the activity of
daptomycin, a recently FDA-approved
antimicrobial agent, against clinical isolates of Gram-positive bacteria, including viridans group streptococci (16 Streptococcus mitis species group, 12 S. mutans species group, 9 S. anginosus species group, 8 S. sanguinis species group, 5 S. salivarius species group) from patients with
infective endocarditis, 32 methicillin-resistant Staphylococcus aureus, 32 high-level
penicillin-resistant Streptococcus pneumoniae, 38 vancomycin-resistant enterococci (including 1
linezolid-resistant isolate), and the following unusual Gram-positive bacteria: 3 Listeria monocytogenes, 4 Erysipelothrix rhusiopathiae, 9 Corynebacterium species, 10 Abiotrophia/Granulicatella species, 2 Rothia (Stomatococcus) mucilaginosus, and 4 Gemella morbillorum.
Daptomycin minimum inhibitory concentration (MIC)(90) values for the viridans group streptococci, methicillin-resistant S. aureus,
penicillin-resistant S. pneumoniae, and Enterococcus species were 0.5, 0.5, < or =0.125, and 4 microg/ml, respectively. The
daptomycin MIC range for the unusual Gram-positive bacteria was < or =0.125-2 microg/ml. We conclude that
daptomycin has in vitro activity against viridans group streptococci associated with
endocarditis as well as against several types of unusual Gram-positive bacteria that can cause
endocarditis.